Sezaryen ile sonuçlanan adolesan gebeliklerde obstetrik sonuçların değerlendirilmesi: Tek merkez deneyimi

Yıl 2022, Cilt: 4 Sayı: 4, 176 - 182, 06.12.2022

Oya Aldemir Nefise Nazlı Yenigül Fedi Ercan

https://doi.org/10.46969/EZH.1172338

Öz

Amaç: 10-19 yaş arası kadınların gebeliği olarak tanımlanan adölesan gebelikler halen önemli bir halk sağlığı sorunudur ve maternal ve fetal mortalite ve morbidite oranlarının arttığı yüksek riskli gebelikler olarak kabul edilmelidir. Bu çalışmada sezaryen (CS) ile sonuçlanan adolesan gebeliklerde obstetrik ve perinatal sonuçların incelenmesi ve belirlenen adolesan yaş gruplarında bu sonuçların karşılaştırılması amaçlandı.
Gereç ve Yöntem: Bu retrospektif çalışmada sezaryen ile doğum yapan 2665 adolesan hastanın obstetrik ve perinatal sonuçları doğum yaşlarına göre oluşturulan 3 grupta incelendi: Grup 1; 14-15 yaş grubu, grup 2; 16-17 yaş grubu ve grup 3;18 -19 yaş grubundan oluşmaktaydı. Sonuçlar belirlenen yaş grupları arasında karşılaştırıldı.
Bulgular: Erken doğum insidansı grup 1'de grup 2 ve grup 3'e göre daha yüksekti (p=0,001) ve grup 1'deki hastaların %52,3'ü 29-34 gebelik haftaları arasında doğum yapmıştı. Grup 1'de fetal doğum ağırlığı ve APGAR skorları daha düşük ve yenidoğan yoğun bakım ünitesi ihtiyacı daha yüksekti. Grup 3'te 116 (%8.4) hastada görülen postpartum kanama, grup 1 ve grup 2'ye göre istatistiksel olarak anlamlı farkla daha yüksekti ( p=0.001).
Sonuç: 15-17 yaş arası sezaryen ile doğum yapan adolesanlarda erken doğum, düşük doğum ağırlığı, düşük APGAR skorları ve yenidoğan yoğun bakım ihtiyacı daha yüksek iken, 18-19 yaş arası adolesanlarda doğum sonu kanama ve kan transfüzyonu ihtiyacı daha yüksektir.

Anahtar Kelimeler

adölesan gebelik, sezaryen, maternal sonuçlar, fetal sonuçlar

Evaluation of obstetric outcomes in adolescent pregnancies delivered by cesarean section: Single center experience

Öz

Aim: Adolescent pregnancies; defined as pregnancies in women aged 10-19 years old are still an important public health problem and must be considered as high risk pregnancies with increased maternal and fetal mortality and morbidity rates. In this study, we aimed to examine the obstetric and perinatal outcomes in adolescent pregnancies delivered with cesarean section (CS) and compare the outcomes in determined adolescent age groups.
Materials and Methods: In this retrospective study, the obstetric and perinatal outcomes in 2665 adolescent patients who delivered with cesarean section were examined in three groups divided according to the age of delivery: group 1 included the patients aged 14-15 years old, group 2 the patients aged 16-17 years old and group 3 the patients aged 18-19 years old. The outcomes were compared between the identified age groups.
Results: The incidence of preterm delivery was higher in group 1 compared with group 2 and group 3 (p=0.001) and 52.3% of group 1 patients had delivered between 29-34 gestational weeks. Fetal birth weight and APGAR scores were lower and need for neonatal intensive care unit (NICU) was higher in group 1. In group 3 116 (8.4%) patients had postpartum hemorrhage which was higher than group 1 and group 2 with statistically significant difference (p=0.001).
Conclusion: Preterm delivery, low birth weight, low APGAR scores and need for NICU are higher in 15-17 years old adolescents delivered with C/S whereas postpartum hemorrhage and need for blood transfusion is higher in adolescents aged 18-19 years old.

Anahtar Kelimeler

Adolescent pregnancy, cesarean section, maternal outcome, fetal outcome

Kaynakça

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